Understanding Frailty, Functional Health and Disability among Older Persons in India: A Decomposition Analysis of Gender and Place of Resident.

Background: We estimated and compared the differences in frailty, disability, and functional limitation among men and women, and among urban and rural dwellers. Further, this study also provides the analysis of key factors influencing frailty, functional limitation and disability among older persons...

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Publicado en:Journal of Research in Health Sciences Vol. 20; no. 3; pp. 1 - 10
Autores principales: Anand, Ankit, Syamala, T. S., Kanchan Sk, Md Illias, Bhatt, Navneet
Formato: research tables/charts Journal Article
Publicado: Hamadan University of Medical Sciences, School of Public Health Summer2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Summer2020
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      pub: Hamadan University of Medical Sciences, School of Public Health
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        10.34172/jrhs.2020.20
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        atl: Understanding Frailty, Functional Health and Disability among Older Persons in India: A Decomposition Analysis of Gender and Place of Resident.
      aug:
        au:
          Anand, Ankit
          Syamala, T. S.
          Kanchan Sk, Md Illias
          Bhatt, Navneet
        affil: Population Research Centre, Institute for Social and Economic Change, Bangalore, India
      sug:
        subj:
          Persons with Disabilities In Old Age
          Frailty Syndrome In Old Age
          Functional Status In Old Age
          Urban Areas
          Rural Areas
          Men
          Women
          Human
          India
          Cross Sectional Studies
          Data Analysis Software
          Descriptive Statistics
          Educational Status
          Socioeconomic Factors
          Sex Factors
          Aged
          Aged: 65+ years
      ab: Background: We estimated and compared the differences in frailty, disability, and functional limitation among men and women, and among urban and rural dwellers. Further, this study also provides the analysis of key factors influencing frailty, functional limitation and disability among older persons in India. Study design: Two cross-sectional surveys. Methods: WHO-SAGE (2007-10) and BKPAI-2011 (Building Knowledgebase for Population Ageing in India) (2007-10) were used. Oaxaca decomposition method was used to decompose the gender and place of resident differentials. Statistical software RStudio (Version 1.2.1335) was used to perform these analyses Results: The decomposition model was able to explain 46.5%, 41.6% and 46.4% of the difference between frailty, functional limitation and disability among older persons respectively. The key factors, which significantly (P<0.05) explained the gap for both frailty and functional limitation, were Education (0.009 &1.24), working status (0.018 & 1.93), physical activity (0.001 & 0.15) and migration (0.018 & 1.98). Higher educational attainment (0.008 & 1.10) and wealth quintile (0.009 & 1.18) in urban areas might be a factors resulting in the lowering of frailty and functional limitations. Conclusion: The poorer functional health among older women can largely be explained by gender differentials in socioeconomic status and consequent empowerment (such as less control of their mobility and financial independence). This implies that efforts to improve gender disadvantages in earlier life stages might get reflected in better health for females in older age.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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